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Underground Storage Tank <br /> Overfill Prevention Equipment Inspection Report <br /> 6. OVERFILL PREVENTION EQUIPMENT DETAILS <br /> Tank ID (one OPE per column) Gasoline-87 Gasoline-91 <br /> Are both vent and tank riser piping F1 Yes ® Yes rl Yes ® Yes <br /> secondarily contained? r] No M No Ej No ® No <br /> OPE Model OPW 71 SO OPw 71 SO <br /> What is the OPE response when ® Shut off ® Shut off ® Shut off Shut off <br /> activated? Flow Flow Flow Flow <br /> (Check all that apply.) ® Restricts ®Restricts 97 Restricts r Restricts <br /> Flow Flow Flow Flow <br /> ® Audible rl Audible rl Audible rj Audible <br /> Alarm Alarm Alarm Alarm <br /> ® Visual r Visual ® Visual r Visual <br /> Alarm Alarm Alarm Alarm <br /> Are flow restrictors installed on vent piping Yes* Yes* ® Yes* ® Yes* <br /> that may interfere with the OPE operation? ® No ® No ® No ® No <br /> At what level in the tank is the OPE set to <br /> activate? Inches from bottom of tank 103° 103" <br /> What is the percent capacity of the tank at 93.93% 93.93% <br /> which the OPE activates? <br /> Is the OPE in proper operating condition to ® Yes ® Yes* Yes* © Yes* <br /> respond when the stored substance © No rl No rj No 0 No <br /> reaches the designated regulatory level? <br /> 7. SUMMARY OF TESTING RESULTS <br /> OPE Inspection Results ® Pass ® Pass C Pass ® Pass <br /> © Fail ® Fail ® Fail ® Fail <br /> 8. COMMENTS <br /> Describe all answers marked "No" or"Fail' and proposed remedy. <br /> List all monitoring equipment either replaced or repaired. <br /> * Mark here if: <br /> [M Flow restrictors interfere with overfill prevention and equipment repairs required. <br /> Additional copies of this page may be attached. <br /> Attach tank chart(s), measurements, calculations, and In-Tank Setup report(s) <br /> Page 2 of 2 <br />